The lifetime cost of treating a person with HIV

Article Abstract:

Lower usage of inpatient hospital services may have decreased the lifetime cost of treating individuals with HIV infection. Researchers interviewed 1,164 HIV patients from 10 cities in spring and early summer of 1992. The monthly cost of treating HIV patients during the four stages of the disease. The estimated lifetime treatment cost was about $119,000 for the period from HIV infection until death. The estimated cost of treatment was $50,000 for the time between HIV infection and development of AIDS. Between the development of AIDS and death, the estimated cost of treatment was $69,000. The estimated cost of treatment between the diagnosis of AIDS and death was lower than predicted for 1992. AIDS patients may using be outpatient services more often than in the past.

Care and treatment, Economic aspects, Statistics, HIV infection, HIV infections, HIV patients, Medical care, Cost of, Health care costs

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The expanding scope of state legislation

Article Abstract:

The growth of managed care organizations has prompted many states to pass laws regulating these organizations. Such laws include direct-access laws, laws that prohibit exclusivity clauses and laws covering minimum hospital stays. Direct-access laws allow consumers to choose a specialist without a referral from their primary care physician. Fourteen states have passed this law, including those with the highest concentration of HMOs. Twenty-two states have passed laws mandating minimum hospital stays following childbirth. Many of the laws were passed without evidence of their potential effect on managed care organizations.

Contracts, Managed care plans (Medical care), Hospital utilization, Hospital stays

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An Analysis of Physician Antitrust Exemption Legislation: Adjusting the Balance of Power

Article Abstract:

As of 1999, Texas is the only state that permits doctors to collectively negotiate with managed care plans. Collective negotiation of prices is a violation of antitrust law but doctors claim these laws place them at a disadvantage. Several state legislatures are considering antitrust exemptions for doctors and a similar bill may be introduced in Congress.

United States, Labor relations, Collective bargaining

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